Three-component model of anxiety Anxiety Disorders Generalized anxiety disorder Panic attacks Phobias Post-traumatic stress disorder Obsessive-compulive disorder
Neurotransmitters responsible for anxiety response: GABA Norepinephrine Corticotropin-releasing factor
Early Experience and Stress
Dose-dependent effects of CNS depressants on levels of consciousness
Treating anxiety disorders Anxiolytics – drugs that reduce anxiety Barbiturates (nembutal – pentobarbital) Benzodiazepines (valium – diazepam, rohypnol) Alcohol
Barbiturates –Acute effects Relieves anxiety Produces sleep/anesthesia Loss of judgment etc. High when injected –Chronic effects Increase liver enzymes Rebound excitability effect similar to alcohol
17.9 Margin of safety
Benzodiazepine –Acute effects Relieves anxiety Less loss of judgment etc. Muscle relaxant –Chronic effects Do NOT increase liver enzymes
Drug effects on locus coeruleus cell firing